Individual provider · Type 1 NPI

Denise Ellison

Adult Health Nurse Practitioner · San Pablo, CA

NPI number 1225495757 Active

Practice location

3160 Garrity Way
San Pablo, CA 94806-1983

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	22040 (CA)

Adult Health Nurse Practitioner: Definition to come...

About NPI 1225495757

Denise Ellison's National Provider Identifier is 1225495757, issued on Jan 28, 2016. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in San Pablo, CA. The record was last updated on Jan 28, 2016.